<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="TRE-R49-DiplomeEtudeSpecialisee"/>
  <meta>
    <versionId value="5"/>
    <lastUpdated value="2025-07-02T18:18:13.236+00:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narratif généré : CodeSystem TRE-R49-DiplomeEtudeSpecialisee</b></p><a name="TRE-R49-DiplomeEtudeSpecialisee"> </a><a name="hcTRE-R49-DiplomeEtudeSpecialisee"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 4; Dernière mise à jour : 2024-08-28 05:13:54+0000</p><p style="margin-bottom: 0px">Profil: <a href="http://hl7.org/fhir/R4/shareablecodesystem.html">Shareable CodeSystem</a></p></div><p><b>Propriétés</b></p><p><b>Cette terminologie de référence (CodeSystem) définit les propriétés suivantes pour ses concepts</b></p><table class="grid"><tr><td><b>Nom</b></td><td><b>Code</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>dateValid</td><td>dateValid</td><td>dateTime</td><td>date de validité d'un code concept</td></tr><tr><td>dateMaj</td><td>dateMaj</td><td>dateTime</td><td>Date de mise à jour d'un code concept</td></tr><tr><td>dateFin</td><td>dateFin</td><td>dateTime</td><td>Date de fin d'exploitation d'un code concept</td></tr></table><p><b>Concepts</b></p><p>This case-insensitive code system <code>https://mos.esante.gouv.fr/NOS/TRE_R49-DiplomeEtudeSpecialisee/FHIR/TRE-R49-DiplomeEtudeSpecialisee</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Définition</b></td><td><b>dateValid</b></td><td><b>dateMaj</b></td><td><b>dateFin</b></td><td><b>French (France) (fr)</b></td></tr><tr><td style="white-space:nowrap">DSD01<a name="TRE-R49-DiplomeEtudeSpecialisee-DSD01"> </a></td><td>DES Orthopédie Dento-Faciale</td><td/><td>2017-10-23T00:00:00+01:00</td><td>2017-10-23T00:00:00+01:00</td><td/><td>DES Ortho Den Fac</td></tr><tr><td style="white-space:nowrap">DSD02<a name="TRE-R49-DiplomeEtudeSpecialisee-DSD02"> </a></td><td>DES Médecine Bucco-Dentaire</td><td/><td>2017-10-23T00:00:00+01:00</td><td>2017-10-23T00:00:00+01:00</td><td/><td>DES Med Bucco Den</td></tr><tr><td style="white-space:nowrap">DSM01<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM01"> </a></td><td>DES Anatomie et Cytologie pathologiques</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Anatomie, Cytologie patho</td></tr><tr><td style="white-space:nowrap">DSM02<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM02"> </a></td><td>DES Anesthésie-réanimation</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM03<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM03"> </a></td><td>DES Biologie médicale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM04<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM04"> </a></td><td>DES Cardiologie et Maladies vasculaires</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Cardiologie, Maladies vasc</td></tr><tr><td style="white-space:nowrap">DSM05<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM05"> </a></td><td>DES Chirurgie générale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td>DES Chir générale</td></tr><tr><td style="white-space:nowrap">DSM06<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM06"> </a></td><td>DES Chirurgie infantile</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td>DES Chir infantile</td></tr><tr><td style="white-space:nowrap">DSM07<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM07"> </a></td><td>DES Chirurgie maxillo-faciale et Stomatologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Chir maxillo-fac, Stomato</td></tr><tr><td style="white-space:nowrap">DSM08<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM08"> </a></td><td>DES Chirurgie orthopédique et Traumatologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Chir orthop, Traumatologie</td></tr><tr><td style="white-space:nowrap">DSM09<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM09"> </a></td><td>DES Chirurgie plastique, reconstructrice et esthétique</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Chir plastiq recon esthét</td></tr><tr><td style="white-space:nowrap">DSM10<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM10"> </a></td><td>DES Chirurgie thoracique et cardio-vasculaire</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Chir thoraciq, cardio-vasc</td></tr><tr><td style="white-space:nowrap">DSM11<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM11"> </a></td><td>DES Chirurgie urologique</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Chir urologique</td></tr><tr><td style="white-space:nowrap">DSM12<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM12"> </a></td><td>DES Chirurgie vasculaire</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Chir vasculaire</td></tr><tr><td style="white-space:nowrap">DSM13<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM13"> </a></td><td>DES Chirurgie viscérale et digestive</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Chir viscérale, digestive</td></tr><tr><td style="white-space:nowrap">DSM14<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM14"> </a></td><td>DES Dermatologie et Vénéréologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Dermatologie, Vénéréologie</td></tr><tr><td style="white-space:nowrap">DSM15<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM15"> </a></td><td>DES Endocrinologie, diabète, maladies métaboliques</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Endocrino, diab, mal métab</td></tr><tr><td style="white-space:nowrap">DSM16<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM16"> </a></td><td>DES Gastro-entérologie et Hépatologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Gastro-entéro, Hépatologie</td></tr><tr><td style="white-space:nowrap">DSM17<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM17"> </a></td><td>DES Génétique médicale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM18<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM18"> </a></td><td>DES Gynécologie médicale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM19<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM19"> </a></td><td>DES Gynécologie-obstétrique</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM20<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM20"> </a></td><td>DES Hématologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM21<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM21"> </a></td><td>DES Hématologie, option Maladies du sang</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Hématologie, opt Mal sang</td></tr><tr><td style="white-space:nowrap">DSM22<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM22"> </a></td><td>DES Hématologie, option Onco-hématologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Hématologie, opt Onco-héma</td></tr><tr><td style="white-space:nowrap">DSM23<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM23"> </a></td><td>DES Médecine du travail</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM24<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM24"> </a></td><td>DES Médecine générale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM25<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM25"> </a></td><td>DES Médecine interne</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM26<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM26"> </a></td><td>DES Médecine nucléaire</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM27<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM27"> </a></td><td>DES Médecine physique et de réadaptation</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Médecine physique, réadapt</td></tr><tr><td style="white-space:nowrap">DSM28<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM28"> </a></td><td>DES Néphrologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM29<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM29"> </a></td><td>DES Neuro-chirurgie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM30<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM30"> </a></td><td>DES Neurologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM31<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM31"> </a></td><td>DES Neuro-psychiatrie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM32<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM32"> </a></td><td>DES Oncologie, option Hématologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Oncologie, opt Hématologie</td></tr><tr><td style="white-space:nowrap">DSM33<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM33"> </a></td><td>DES Oncologie, option Médicale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM34<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM34"> </a></td><td>DES Oncologie, option Radio-thérapie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Oncologie, opt Radiothérap</td></tr><tr><td style="white-space:nowrap">DSM35<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM35"> </a></td><td>DES Ophtalmologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM36<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM36"> </a></td><td>DES ORL et Chirurgie cervico-faciale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES ORL,Chir cervico-faciale</td></tr><tr><td style="white-space:nowrap">DSM37<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM37"> </a></td><td>ORL et Chirurgie cervico-faciale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>ORL, Chir cervico-faciale</td></tr><tr><td style="white-space:nowrap">DSM38<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM38"> </a></td><td>Pathologies cardio-vasculaires</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM39<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM39"> </a></td><td>DES Pédiatrie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM40<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM40"> </a></td><td>DES Pneumologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM41<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM41"> </a></td><td>DES Psychiatrie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM42<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM42"> </a></td><td>Psychiatrie infantile</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM43<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM43"> </a></td><td>DES Radio-diagnostic et Imagerie médicale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Radio-diag, Imagerie méd</td></tr><tr><td style="white-space:nowrap">DSM44<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM44"> </a></td><td>DES Radio-thérapie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM45<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM45"> </a></td><td>DES Recherche médicale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM46<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM46"> </a></td><td>DES Rhumatologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM47<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM47"> </a></td><td>DES Santé publique et Médecine sociale</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Santé publiq, Méd sociale</td></tr><tr><td style="white-space:nowrap">DSM48<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM48"> </a></td><td>DES Stomatologie</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM49<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM49"> </a></td><td>DES Gynéco-obs et Gynéco-médicale, option Obstétrique</td><td/><td>2007-07-25T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Gyn-obs méd, opt Obs</td></tr><tr><td style="white-space:nowrap">DSM50<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM50"> </a></td><td>DES Gynéco-obs et Gynéco-médicale, option Gynéco-médicale</td><td/><td>2007-07-25T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>DES Gyn-obs méd, opt Gyn-méd</td></tr><tr><td style="white-space:nowrap">DSM51<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM51"> </a></td><td>DES Chirurgie orale</td><td/><td>2015-10-30T00:00:00+01:00</td><td>2015-10-30T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSP04<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP04"> </a></td><td>DES Biologie médicale</td><td/><td>2007-07-25T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSP05<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP05"> </a></td><td>DES Pharmacie et Santé publique</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>DES Pharmacie et Santé publiq</td></tr><tr><td style="white-space:nowrap">DSP06<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP06"> </a></td><td>DES Pharmacie hospitalière</td><td>DES de pharmacie hospitalière (nouveau régime) sans mention de l'option. Suite au décret n° 2019-1022 du 4 octobre 2019 portant modification du troisième cycle long des études pharmaceutiques, le DES de pharmacie hospitalière remplace le DES de pharmacie à compter de la rentrée universitaire 2019-2020 (premiers diplômés en 2024 pour les options PHG et DSPS, et 2025 pour l'option RPH). Si l'option n'est pas connue, le code du DES de pharmacie hospitalière est DSP06, sinon le code est DSP10, DSP11 ou DSP12.</td><td>2007-07-25T15:04:42+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSP07<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP07"> </a></td><td>DES Pharmacie hospitalière (PHPR)</td><td>DES de pharmacie (ancien régime) option pharmacie hospitalière - pratique et recherche (PH-PR).</td><td>2007-07-25T15:04:42+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>DES Pharmacie PHPR</td></tr><tr><td style="white-space:nowrap">DSP08<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP08"> </a></td><td>DES Pharmacie industrielle et biomédicale (PIBM)</td><td>DES de pharmacie (ancien régime) option pharmacie industrielle et biomédicale (PIBM).</td><td>2016-11-02T00:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>DES Pharmacie PIBM</td></tr><tr><td style="white-space:nowrap">DSP09<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP09"> </a></td><td>DES Pharmacie</td><td>DES de pharmacie (ancien régime) sans mention de l'option. Suite au décret n° 2019-1022 du 4 octobre 2019 portant modification du troisième cycle long des études pharmaceutiques, le DES de pharmacie hospitalière remplace le DES de pharmacie à compter de la rentrée universitaire 2019-2020 (derniers diplômés du DES de pharmacie en 2023). Si l'option n'est pas connue, le code du DES de pharmacie est DSP09, sinon le code est DSP07 ou DSP08.</td><td>2016-11-02T00:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/></tr><tr><td style="white-space:nowrap">DSP10<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP10"> </a></td><td>DES Pharmacie hospitalière générale (PHG)</td><td>DES de pharmacie hospitalière (nouveau régime) option Pharmacie Hospitalière Générale (PHG).</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/><td>DES Pharma Hosp PHG</td></tr><tr><td style="white-space:nowrap">DSP11<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP11"> </a></td><td>DES Pharmacie hospitalière développement-sécurisation des produits santé (DSPS)</td><td>DES de pharmacie hospitalière (nouveau régime) option Développement et sécurisation des produits de santé (DSPS).</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/><td>DES Pharma Hosp DSPS</td></tr><tr><td style="white-space:nowrap">DSP12<a name="TRE-R49-DiplomeEtudeSpecialisee-DSP12"> </a></td><td>DES Pharmacie hospitalière radiopharmacie (RPH)</td><td>DES de pharmacie hospitalière (nouveau régime) option Radiopharmacie (RPH).</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/><td>DES Pharma Hosp RPH</td></tr><tr><td style="white-space:nowrap">DSM52<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM52"> </a></td><td>DES Allergologie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM53<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM53"> </a></td><td>DES Chirurgie maxillo-faciale (réforme 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Chir max-fac (2017)</td></tr><tr><td style="white-space:nowrap">DSM54<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM54"> </a></td><td>DES Chirurgie orthopédique et traumatologique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Chir ortho trauma</td></tr><tr><td style="white-space:nowrap">DSM55<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM55"> </a></td><td>DES Endocrinologie-diabétologie-nutrition</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Endo-diabéto-nutri</td></tr><tr><td style="white-space:nowrap">DSM56<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM56"> </a></td><td>DES Hématologie (réforme 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Hématologie (2017)</td></tr><tr><td style="white-space:nowrap">DSM57<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM57"> </a></td><td>DES Hépato-gastro-entérologie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Hépato-gastro-entéro</td></tr><tr><td style="white-space:nowrap">DSM58<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM58"> </a></td><td>DES Maladies infectieuses et tropicales</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Maladies infect trop</td></tr><tr><td style="white-space:nowrap">DSM59<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM59"> </a></td><td>DES Médecine cardiovasculaire</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Méd cardiovasculaire</td></tr><tr><td style="white-space:nowrap">DSM60<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM60"> </a></td><td>DES Médecine d'urgence</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM61<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM61"> </a></td><td>DES Médecine et santé au travail</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Méd santé travail</td></tr><tr><td style="white-space:nowrap">DSM62<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM62"> </a></td><td>DES Médecine intensive-réanimation</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES MIR</td></tr><tr><td style="white-space:nowrap">DSM63<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM63"> </a></td><td>DES Médecine interne et immunologie clinique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Méd int immuno clin</td></tr><tr><td style="white-space:nowrap">DSM64<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM64"> </a></td><td>DES Médecine légale et expertises médicales</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Méd légale exp méd</td></tr><tr><td style="white-space:nowrap">DSM65<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM65"> </a></td><td>DES Médecine vasculaire</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM66<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM66"> </a></td><td>DES Radiologie et imagerie médicale</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Radiologie imag méd</td></tr><tr><td style="white-space:nowrap">DSM67<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM67"> </a></td><td>DES Santé publique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM68<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM68"> </a></td><td>DES Urologie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/></tr><tr><td style="white-space:nowrap">DSM69<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM69"> </a></td><td>DES Anesthésie-réanimation opt réanim-pédiatrique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td>DES Anesth-réa pédia</td></tr><tr><td style="white-space:nowrap">DSM70<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM70"> </a></td><td>DES Biologie médicale option agents infectieux</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio agents infect</td></tr><tr><td style="white-space:nowrap">DSM71<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM71"> </a></td><td>DES Biologie médicale option biologie générale</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio générale</td></tr><tr><td style="white-space:nowrap">DSM72<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM72"> </a></td><td>DES Biologie médic opt hématologie et immunologie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio hémato immuno</td></tr><tr><td style="white-space:nowrap">DSM73<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM73"> </a></td><td>DES Biologie médic opt méd moléc génétique pharmac</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd mol gén phar</td></tr><tr><td style="white-space:nowrap">DSM74<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM74"> </a></td><td>DES Biologie médic opt biologie de la reproduction</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio reproduction</td></tr><tr><td style="white-space:nowrap">DSM75<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM75"> </a></td><td>DES Chir maxillo-faciale opt orthod dysmo max-fac</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES CMF orthod dysm m-f</td></tr><tr><td style="white-space:nowrap">DSM76<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM76"> </a></td><td>DES Chirurgie viscérale et digestive opt endo chir</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Chir visc dig endo</td></tr><tr><td style="white-space:nowrap">DSM77<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM77"> </a></td><td>DES Chir pédiatrique opt orthopédie pédiatrique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Chir pédia ortho</td></tr><tr><td style="white-space:nowrap">DSM78<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM78"> </a></td><td>DES Chir pédiatrique opt chir visc pédiatrique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Chir pédia visc</td></tr><tr><td style="white-space:nowrap">DSM79<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM79"> </a></td><td>DES Méd cardiovascul opt card intervention adulte</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td>DES Cardio interv ad</td></tr><tr><td style="white-space:nowrap">DSM80<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM80"> </a></td><td>DES Méd cardiovascul opt imagerie cardio d'expert.</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Cardio imag expert</td></tr><tr><td style="white-space:nowrap">DSM81<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM81"> </a></td><td>DES Méd cardiovascul opt rythmo inter stimu card</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Cardio rythmo stimu</td></tr><tr><td style="white-space:nowrap">DSM82<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM82"> </a></td><td>DES Méd intensive-réanimation opt réa pédiatrique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES MIR réa pédiatrique</td></tr><tr><td style="white-space:nowrap">DSM83<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM83"> </a></td><td>DES Néphrologie opt soins intensifs néphrologiques</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Néphro soins int</td></tr><tr><td style="white-space:nowrap">DSM84<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM84"> </a></td><td>DES Neurolog opt trait interv ischémie céréb aigüe</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Neuro trait isch cér</td></tr><tr><td style="white-space:nowrap">DSM85<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM85"> </a></td><td>DES Oncologie option oncologie médicale</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Onco médicale</td></tr><tr><td style="white-space:nowrap">DSM86<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM86"> </a></td><td>DES Oncologie option oncologie radiothérapie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Onco radiothérapie</td></tr><tr><td style="white-space:nowrap">DSM87<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM87"> </a></td><td>DES Ophtalmo opt chir ophtalmopéd strabologique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Ophta chir péd strab</td></tr><tr><td style="white-space:nowrap">DSM88<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM88"> </a></td><td>DES ORL - chir cervico-faciale opt audiophonologie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES ORL-CCF audiophono</td></tr><tr><td style="white-space:nowrap">DSM89<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM89"> </a></td><td>DES Pédiatrie option néonatologie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Pédiatrie néonat</td></tr><tr><td style="white-space:nowrap">DSM90<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM90"> </a></td><td>DES Pédiatrie option neuropédiatrie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Pédiatrie neuropéd</td></tr><tr><td style="white-space:nowrap">DSM91<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM91"> </a></td><td>DES Pédiatrie option pneumopédiatrie</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Pédiatrie pneumopéd</td></tr><tr><td style="white-space:nowrap">DSM92<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM92"> </a></td><td>DES Pédiatrie option réanimation pédiatrique</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Pédiatrie réa péd</td></tr><tr><td style="white-space:nowrap">DSM93<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM93"> </a></td><td>DES Pneumologie opt soins intensifs respiratoires</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Pneumo soins int</td></tr><tr><td style="white-space:nowrap">DSM94<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM94"> </a></td><td>DES Psychiatrie option enfant et adolescent</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Psy enfant ado</td></tr><tr><td style="white-space:nowrap">DSM95<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM95"> </a></td><td>DES Psychiatrie opt psychiatrie personne âgée</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Psy personne âgée</td></tr><tr><td style="white-space:nowrap">DSM96<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM96"> </a></td><td>DES Radiologie imagerie médic opt radio inter av</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Radiologie inter av</td></tr><tr><td style="white-space:nowrap">DSM97<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM97"> </a></td><td>DES Santé publique opt administration de la santé</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Santé publique admin</td></tr><tr><td style="white-space:nowrap">DSM98<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM98"> </a></td><td>DES Biologie méd opt bactério, virologie, hygiène</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd bactério</td></tr><tr><td style="white-space:nowrap">DSM99<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM99"> </a></td><td>DES Biologie méd opt biochimie</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd biochim</td></tr><tr><td style="white-space:nowrap">DSM100<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM100"> </a></td><td>DES Biologie méd opt biologie de la reproduction</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd reproduc</td></tr><tr><td style="white-space:nowrap">DSM101<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM101"> </a></td><td>DES Biologie méd opt génétique</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd génétiq</td></tr><tr><td style="white-space:nowrap">DSM102<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM102"> </a></td><td>DES Biologie méd opt hématologie</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd hémato</td></tr><tr><td style="white-space:nowrap">DSM103<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM103"> </a></td><td>DES Biologie méd opt immunologie</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd immuno</td></tr><tr><td style="white-space:nowrap">DSM104<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM104"> </a></td><td>DES Biologie méd opt parasitologie-mycologie, risq</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd parasito</td></tr><tr><td style="white-space:nowrap">DSM105<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM105"> </a></td><td>DES Biologie méd opt pharmacologie-toxicologie</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd pharmaco</td></tr><tr><td style="white-space:nowrap">DSM106<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM106"> </a></td><td>DES Biologie méd opt thérapie cellulaire-génique</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td>DES Bio méd thérapie</td></tr><tr><td style="white-space:nowrap">DSM412<a name="TRE-R49-DiplomeEtudeSpecialisee-DSM412"> </a></td><td>DES Gériatrie</td><td>La Gériatrie était un DESC 2 donnant droit à la spécialité ; depuis la réforme de 2017, la Gériatrie est devenue un DES</td><td>2024-05-31T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2013-06-28T00:00:00+01:00"/>
    </valuePeriod>
  </extension>
  <url value="https://mos.esante.gouv.fr/NOS/TRE_R49-DiplomeEtudeSpecialisee/FHIR/TRE-R49-DiplomeEtudeSpecialisee"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.2.250.1.213.1.6.1.32"/>
  </identifier>
  <version value="20240531120000"/>
  <name value="TRE_R49_DiplomeEtudeSpecialisee"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-05-31T12:00:00+01:00"/>
  <publisher value="Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris"/>
  <description value="Diplôme d'Etudes Spécialisées"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="FR"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="false"/>
  <content value="complete"/>
  <property>
    <code value="dateValid"/>
    <description value="date de validité d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="dateMaj"/>
    <description value="Date de mise à jour d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="dateFin"/>
    <description value="Date de fin d'exploitation d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="deprecationDate"/>
    <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"/>
    <description value="Date Concept was deprecated"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="status"/>
    <uri value="http://hl7.org/fhir/concept-properties#status"/>
    <description value="A property that indicates the status of the concept."/>
    <type value="code"/>
  </property>
  <property>
    <code value="retirementDate"/>
    <uri value="http://hl7.org/fhir/concept-properties#retirementDate"/>
    <description value="Date Concept was retired"/>
    <type value="dateTime"/>
  </property>
  <concept>
    <code value="DSD01"/>
    <display value="DES Orthopédie Dento-Faciale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Ortho Den Fac"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2017-10-23T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2017-10-23T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSD02"/>
    <display value="DES Médecine Bucco-Dentaire"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Med Bucco Den"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2017-10-23T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2017-10-23T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM01"/>
    <display value="DES Anatomie et Cytologie pathologiques"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Anatomie, Cytologie patho"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM02"/>
    <display value="DES Anesthésie-réanimation"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM03"/>
    <display value="DES Biologie médicale"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM04"/>
    <display value="DES Cardiologie et Maladies vasculaires"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Cardiologie, Maladies vasc"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM05"/>
    <display value="DES Chirurgie générale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir générale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM06"/>
    <display value="DES Chirurgie infantile"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir infantile"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM07"/>
    <display value="DES Chirurgie maxillo-faciale et Stomatologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir maxillo-fac, Stomato"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM08"/>
    <display value="DES Chirurgie orthopédique et Traumatologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir orthop, Traumatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM09"/>
    <display value="DES Chirurgie plastique, reconstructrice et esthétique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir plastiq recon esthét"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM10"/>
    <display value="DES Chirurgie thoracique et cardio-vasculaire"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir thoraciq, cardio-vasc"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM11"/>
    <display value="DES Chirurgie urologique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir urologique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM12"/>
    <display value="DES Chirurgie vasculaire"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir vasculaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM13"/>
    <display value="DES Chirurgie viscérale et digestive"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir viscérale, digestive"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM14"/>
    <display value="DES Dermatologie et Vénéréologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Dermatologie, Vénéréologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM15"/>
    <display value="DES Endocrinologie, diabète, maladies métaboliques"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Endocrino, diab, mal métab"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM16"/>
    <display value="DES Gastro-entérologie et Hépatologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Gastro-entéro, Hépatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM17"/>
    <display value="DES Génétique médicale"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM18"/>
    <display value="DES Gynécologie médicale"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM19"/>
    <display value="DES Gynécologie-obstétrique"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM20"/>
    <display value="DES Hématologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM21"/>
    <display value="DES Hématologie, option Maladies du sang"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Hématologie, opt Mal sang"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM22"/>
    <display value="DES Hématologie, option Onco-hématologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Hématologie, opt Onco-héma"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM23"/>
    <display value="DES Médecine du travail"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM24"/>
    <display value="DES Médecine générale"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM25"/>
    <display value="DES Médecine interne"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM26"/>
    <display value="DES Médecine nucléaire"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM27"/>
    <display value="DES Médecine physique et de réadaptation"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Médecine physique, réadapt"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM28"/>
    <display value="DES Néphrologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM29"/>
    <display value="DES Neuro-chirurgie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM30"/>
    <display value="DES Neurologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM31"/>
    <display value="DES Neuro-psychiatrie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM32"/>
    <display value="DES Oncologie, option Hématologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Oncologie, opt Hématologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM33"/>
    <display value="DES Oncologie, option Médicale"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM34"/>
    <display value="DES Oncologie, option Radio-thérapie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Oncologie, opt Radiothérap"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM35"/>
    <display value="DES Ophtalmologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM36"/>
    <display value="DES ORL et Chirurgie cervico-faciale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES ORL,Chir cervico-faciale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM37"/>
    <display value="ORL et Chirurgie cervico-faciale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="ORL, Chir cervico-faciale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM38"/>
    <display value="Pathologies cardio-vasculaires"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM39"/>
    <display value="DES Pédiatrie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM40"/>
    <display value="DES Pneumologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM41"/>
    <display value="DES Psychiatrie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM42"/>
    <display value="Psychiatrie infantile"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM43"/>
    <display value="DES Radio-diagnostic et Imagerie médicale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Radio-diag, Imagerie méd"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM44"/>
    <display value="DES Radio-thérapie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM45"/>
    <display value="DES Recherche médicale"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM46"/>
    <display value="DES Rhumatologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM47"/>
    <display value="DES Santé publique et Médecine sociale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Santé publiq, Méd sociale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM48"/>
    <display value="DES Stomatologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2011-01-17T11:47:08+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM49"/>
    <display value="DES Gynéco-obs et Gynéco-médicale, option Obstétrique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Gyn-obs méd, opt Obs"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM50"/>
    <display value="DES Gynéco-obs et Gynéco-médicale, option Gynéco-médicale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Gyn-obs méd, opt Gyn-méd"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM51"/>
    <display value="DES Chirurgie orale"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2015-10-30T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2015-10-30T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSP04"/>
    <display value="DES Biologie médicale"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSP05"/>
    <display value="DES Pharmacie et Santé publique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pharmacie et Santé publiq"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DSP06"/>
    <display value="DES Pharmacie hospitalière"/>
    <definition value="DES de pharmacie hospitalière (nouveau régime) sans mention de l'option. Suite au décret n° 2019-1022 du 4 octobre 2019 portant modification du troisième cycle long des études pharmaceutiques, le DES de pharmacie hospitalière remplace le DES de pharmacie à compter de la rentrée universitaire 2019-2020 (premiers diplômés en 2024 pour les options PHG et DSPS, et 2025 pour l'option RPH). Si l'option n'est pas connue, le code du DES de pharmacie hospitalière est DSP06, sinon le code est DSP10, DSP11 ou DSP12."/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSP07"/>
    <display value="DES Pharmacie hospitalière (PHPR)"/>
    <definition value="DES de pharmacie (ancien régime) option pharmacie hospitalière - pratique et recherche (PH-PR)."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pharmacie PHPR"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DSP08"/>
    <display value="DES Pharmacie industrielle et biomédicale (PIBM)"/>
    <definition value="DES de pharmacie (ancien régime) option pharmacie industrielle et biomédicale (PIBM)."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pharmacie PIBM"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2016-11-02T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DSP09"/>
    <display value="DES Pharmacie"/>
    <definition value="DES de pharmacie (ancien régime) sans mention de l'option. Suite au décret n° 2019-1022 du 4 octobre 2019 portant modification du troisième cycle long des études pharmaceutiques, le DES de pharmacie hospitalière remplace le DES de pharmacie à compter de la rentrée universitaire 2019-2020 (derniers diplômés du DES de pharmacie en 2023). Si l'option n'est pas connue, le code du DES de pharmacie est DSP09, sinon le code est DSP07 ou DSP08."/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2016-11-02T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DSP10"/>
    <display value="DES Pharmacie hospitalière générale (PHG)"/>
    <definition value="DES de pharmacie hospitalière (nouveau régime) option Pharmacie Hospitalière Générale (PHG)."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pharma Hosp PHG"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSP11"/>
    <display value="DES Pharmacie hospitalière développement-sécurisation des produits santé (DSPS)"/>
    <definition value="DES de pharmacie hospitalière (nouveau régime) option Développement et sécurisation des produits de santé (DSPS)."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pharma Hosp DSPS"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSP12"/>
    <display value="DES Pharmacie hospitalière radiopharmacie (RPH)"/>
    <definition value="DES de pharmacie hospitalière (nouveau régime) option Radiopharmacie (RPH)."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pharma Hosp RPH"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2021-03-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM52"/>
    <display value="DES Allergologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM53"/>
    <display value="DES Chirurgie maxillo-faciale (réforme 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir max-fac (2017)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM54"/>
    <display value="DES Chirurgie orthopédique et traumatologique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir ortho trauma"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM55"/>
    <display value="DES Endocrinologie-diabétologie-nutrition"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Endo-diabéto-nutri"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM56"/>
    <display value="DES Hématologie (réforme 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Hématologie (2017)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM57"/>
    <display value="DES Hépato-gastro-entérologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Hépato-gastro-entéro"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM58"/>
    <display value="DES Maladies infectieuses et tropicales"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Maladies infect trop"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM59"/>
    <display value="DES Médecine cardiovasculaire"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Méd cardiovasculaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM60"/>
    <display value="DES Médecine d'urgence"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM61"/>
    <display value="DES Médecine et santé au travail"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Méd santé travail"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM62"/>
    <display value="DES Médecine intensive-réanimation"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES MIR"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM63"/>
    <display value="DES Médecine interne et immunologie clinique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Méd int immuno clin"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM64"/>
    <display value="DES Médecine légale et expertises médicales"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Méd légale exp méd"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM65"/>
    <display value="DES Médecine vasculaire"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM66"/>
    <display value="DES Radiologie et imagerie médicale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Radiologie imag méd"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM67"/>
    <display value="DES Santé publique"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM68"/>
    <display value="DES Urologie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM69"/>
    <display value="DES Anesthésie-réanimation opt réanim-pédiatrique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Anesth-réa pédia"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Anesthésie-réanimation option réanimation-pédiatrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM70"/>
    <display value="DES Biologie médicale option agents infectieux"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio agents infect"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM71"/>
    <display value="DES Biologie médicale option biologie générale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio générale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM72"/>
    <display value="DES Biologie médic opt hématologie et immunologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio hémato immuno"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option hématologie et immunologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM73"/>
    <display value="DES Biologie médic opt méd moléc génétique pharmac"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd mol gén phar"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option médecine moléculaire, génétique et pharmacologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM74"/>
    <display value="DES Biologie médic opt biologie de la reproduction"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio reproduction"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option biologie de la reproduction"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM75"/>
    <display value="DES Chir maxillo-faciale opt orthod dysmo max-fac"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES CMF orthod dysm m-f"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir maxillo-faciale option orthodontie des dysmorphies maxillo-faciales"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM76"/>
    <display value="DES Chirurgie viscérale et digestive opt endo chir"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir visc dig endo"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chirurgie viscérale et digestive option endoscopie chirurgicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM77"/>
    <display value="DES Chir pédiatrique opt orthopédie pédiatrique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir pédia ortho"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chirurgie pédiatrique option orthopédie pédiatrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM78"/>
    <display value="DES Chir pédiatrique opt chir visc pédiatrique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chir pédia visc"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Chirurgie pédiatrique option chirurgie viscérale pédiatrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM79"/>
    <display value="DES Méd cardiovascul opt card intervention adulte"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Cardio interv ad"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Médecine cardiovasculaire option cardiologie interventionnelle de l'adulte"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM80"/>
    <display value="DES Méd cardiovascul opt imagerie cardio d'expert."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Cardio imag expert"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Médecine cardiovasculaire option imagerie cardio d'expert."/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM81"/>
    <display value="DES Méd cardiovascul opt rythmo inter stimu card"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Cardio rythmo stimu"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Médecine cardiovasculaire option rythmologie interventionnelle et stimulation cardiaque"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM82"/>
    <display value="DES Méd intensive-réanimation opt réa pédiatrique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES MIR réa pédiatrique"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Médecine intensive-réanimation option réanimation pédiatrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM83"/>
    <display value="DES Néphrologie opt soins intensifs néphrologiques"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Néphro soins int"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Néphrologie option soins intensifs néphrologiques"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM84"/>
    <display value="DES Neurolog opt trait interv ischémie céréb aigüe"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Neuro trait isch cér"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Neurologie option traitement interventionnel de l'ischémie cérébrale aigüe"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM85"/>
    <display value="DES Oncologie option oncologie médicale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Onco médicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM86"/>
    <display value="DES Oncologie option oncologie radiothérapie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Onco radiothérapie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM87"/>
    <display value="DES Ophtalmo opt chir ophtalmopéd strabologique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Ophta chir péd strab"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Ophtalmo option chirurgie ophtalmopédiatrique et strabologique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM88"/>
    <display value="DES ORL - chir cervico-faciale opt audiophonologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES ORL-CCF audiophono"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES ORL et chirurgie cervico-faciale option audiophonologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM89"/>
    <display value="DES Pédiatrie option néonatologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pédiatrie néonat"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM90"/>
    <display value="DES Pédiatrie option neuropédiatrie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pédiatrie neuropéd"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM91"/>
    <display value="DES Pédiatrie option pneumopédiatrie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pédiatrie pneumopéd"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM92"/>
    <display value="DES Pédiatrie option réanimation pédiatrique"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pédiatrie réa péd"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM93"/>
    <display value="DES Pneumologie opt soins intensifs respiratoires"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pneumo soins int"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Pneumologie option soins intensifs respiratoires"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM94"/>
    <display value="DES Psychiatrie option enfant et adolescent"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Psy enfant ado"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM95"/>
    <display value="DES Psychiatrie opt psychiatrie personne âgée"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Psy personne âgée"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Psychiatrie option psychiatrie personne âgée"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM96"/>
    <display value="DES Radiologie imagerie médic opt radio inter av"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Radiologie inter av"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Radiologie imagerie médicale option radiologie interventionnelle avancée"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM97"/>
    <display value="DES Santé publique opt administration de la santé"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Santé publique admin"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Santé publique option administration de la santé"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM98"/>
    <display value="DES Biologie méd opt bactério, virologie, hygiène"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd bactério"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option bactériologie, virologie et hygiène hospitalière"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM99"/>
    <display value="DES Biologie méd opt biochimie"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd biochim"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option biochimie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM100"/>
    <display value="DES Biologie méd opt biologie de la reproduction"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd reproduc"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option biologie de la reproduction"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM101"/>
    <display value="DES Biologie méd opt génétique"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd génétiq"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option biologie génétique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM102"/>
    <display value="DES Biologie méd opt hématologie"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd hémato"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option hématologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM103"/>
    <display value="DES Biologie méd opt immunologie"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd immuno"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option immunologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM104"/>
    <display value="DES Biologie méd opt parasitologie-mycologie, risq"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd parasito"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option parasitologie-mycologie et risques environnementaux"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM105"/>
    <display value="DES Biologie méd opt pharmacologie-toxicologie"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd pharmaco"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option pharmacologie-toxicologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM106"/>
    <display value="DES Biologie méd opt thérapie cellulaire-génique"/>
    <definition value="Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Bio méd thérapie"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DES Biologie médicale option thérapie cellulaire et thérapie génique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DSM412"/>
    <display value="DES Gériatrie"/>
    <definition value="La Gériatrie était un DESC 2 donnant droit à la spécialité ; depuis la réforme de 2017, la Gériatrie est devenue un DES"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
</CodeSystem>